Journal of special operations medicine : a peer reviewed journal for SOF medical professionals最新文献_第7页

An Update on Best Practices for the Prehospital Management of Exertional Heat Illness. 最新的最佳做法，为院前管理的劳力热病。

Journal of special operations medicine : a peer reviewed journal for SOF medical professionals Pub Date : 2025-04-04 DOI: 10.55460/RWUS-AE68

Chad Norton, Yonatan Moreh, Nathan Sperry, Francis G O'Connor, David W Degroot, Blair Rhodehouse, Samuel Ivan Bartlett

{"title":"An Update on Best Practices for the Prehospital Management of Exertional Heat Illness.","authors":"Chad Norton, Yonatan Moreh, Nathan Sperry, Francis G O'Connor, David W Degroot, Blair Rhodehouse, Samuel Ivan Bartlett","doi":"10.55460/RWUS-AE68","DOIUrl":"10.55460/RWUS-AE68","url":null,"abstract":"Exertional heat illness (EHI) describes a spectrum of acute medical disorders, frequently encountered in Servicemembers throughout the Armed Forces, that poses a pervasive threat to individual and unit military readiness. In June 2024, the Consortium for Health and Military Performance Warrior Heat and Exertion Related Event Collaborative published a Joint Clinical Practice Guideline for the prevention, diagnosis, and management of exertional heat illness, which outlines best practices in the diagnosis and management of EHI, including prevention, prehospital care, emergency department care, inpatient hospital care, and return to duty guidelines. In the Special Operations community, recognition and early treatment via rapid cooling to a body core temperature of 39.0-39.2°C (102.0-102.5°F) within 30 minutes from the time of injury recognition are the most crucial concepts to follow to reduce the morbidity and mortality of EHI. This article introduces the recommended best practices from the Clinical Practice Guideline, which are most relevant to the Special Operations community.","PeriodicalId":53630,"journal":{"name":"Journal of special operations medicine : a peer reviewed journal for SOF medical professionals","volume":" ","pages":"36-43"},"PeriodicalIF":0.0,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143634775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Optimal Prehospital Practices for Airway Emergencies of Military Working Dog Combat Casualties. 军事工作犬战斗伤亡气道急救的院前优化实践。

Journal of special operations medicine : a peer reviewed journal for SOF medical professionals Pub Date : 2025-04-04 DOI: 10.55460/FEE1-GMH5

Lee E Palmer, Suzanne Skerrett, Emilee C Venn, Arezoo Mohammadipoor, Thomas H Edwards

{"title":"Optimal Prehospital Practices for Airway Emergencies of Military Working Dog Combat Casualties.","authors":"Lee E Palmer, Suzanne Skerrett, Emilee C Venn, Arezoo Mohammadipoor, Thomas H Edwards","doi":"10.55460/FEE1-GMH5","DOIUrl":"10.55460/FEE1-GMH5","url":null,"abstract":"Purpose: This study evaluated the feasibility of performing a surgical cricothyrotomy (CTT) in lieu of a tube tracheostomy (TT) as the first-line emergent surgical airway access technique in military working dogs (MWDs).Methods: In a crossover, randomized trial, five emergency medicine physician residents (MD group), trained in performing CTT in people but not canines, and five early career veterinarians (DVM group), trained in performing TT in canines but not trained in performing CTT in canines, performed a CTT and TT on 10 canine cadavers.Results: The time to complete CTT within the MD group was statistically shorter than the time to complete TT (P<.05). In the DVM group, the time to complete TT was shorter than that of CTT, but the time difference was not statistically significant (CTT: 239.6 [SD 251.7] s vs. TT: 133.4 [SD 88.0] s). In the MD group, the TT damage score was statistically higher than the CTT damage score (CTT: 0 vs. TT: 1.6 [SD 0.9], P<.01). There was no statistically significant difference between the damage scores of CTT and TT in the DVM group (CTT: 1.4 [SD 1.1] vs. TT: 1.6 [SD 0.9]). Overall, the participants reported a positive response with CTT compared to TT.Conclusion: CTT is a viable first-line emergent surgical airway access technique when used by veterinarians and human healthcare clinicians with limited surgical experience or no proficiency in performing TT.","PeriodicalId":53630,"journal":{"name":"Journal of special operations medicine : a peer reviewed journal for SOF medical professionals","volume":" ","pages":"78-84"},"PeriodicalIF":0.0,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Social Determinant of Unconventional Resilience: Tactical Engagement with Family Formations. 非常规弹性的社会决定因素：与家庭形成的战术接触。

Journal of special operations medicine : a peer reviewed journal for SOF medical professionals Pub Date : 2025-04-04 DOI: 10.55460/UCGQ-87EY

Erika Ann Jeschke, Jennifer Patton, Jared Wyma-Bradley, Jay B Baker, John Dorsch, Sarah Lynn Huffman

引用次数: 0

Effects of Whole Blood Donation on Physiological Responses and Physical Performance at Altitude. 全血捐献对高原生理反应和体能的影响。

Journal of special operations medicine : a peer reviewed journal for SOF medical professionals Pub Date : 2025-04-04 DOI: 10.55460/ZXN7-EFUJ

Douglas Morgan Jones, Nicholas Roberts, Rebecca S Weller, Rebecca J McClintock, Corey Buchanan, Timothy L Dunn

{"title":"Effects of Whole Blood Donation on Physiological Responses and Physical Performance at Altitude.","authors":"Douglas Morgan Jones, Nicholas Roberts, Rebecca S Weller, Rebecca J McClintock, Corey Buchanan, Timothy L Dunn","doi":"10.55460/ZXN7-EFUJ","DOIUrl":"10.55460/ZXN7-EFUJ","url":null,"abstract":"Background: The impact of single-unit blood donation (BD) on donor physical performance at sea level is well-studied. However, no studies have evaluated the impacts of BD on warfighter performance at higher elevations. This study evaluated the effects of BD on high-altitude combat-load carry performance in acclimatized military personnel following BD.Methods: Thirteen acclimatized military personnel (age: mean 28 [SD 6] years; height mean 175 [SD 7] cm; weight: mean 78.4 [SD 9.1] kg; residence elevation 2,100m) completed two 3.2-km rucksack carries (mean 24.2 [SD 2.1] kg from 2800 to 3,050m, one without BD (control) and one after BD. Total ruck march time, heart rate (HR), oxygen saturation (SpO2), respiratory rate (RR), minute ventilation (VE), rating of perceived exertion (RPE), thermal sensation (TS), and acute mountain sickness (AMS) symptoms were analyzed.Results: There were no differences between control and BD for ruck march time (F(1,11)=2.13, P>.1, η2G=.03), HR (P>.1), RR (P>.1), VE (P>.1), RPE (P>.1), and TS (P>.07). AMS symptoms were not impacted by either condition. SpO2 was lower in the control scenario than after BD (b=-4.23 [SE 2.4], P=.007).Conclusions: A single-unit whole blood donation does not impact donor physical performance in acclimatized participants during combat-load carries at elevations up to 3,050m except with respect to SpO2.","PeriodicalId":53630,"journal":{"name":"Journal of special operations medicine : a peer reviewed journal for SOF medical professionals","volume":" ","pages":"29-34"},"PeriodicalIF":0.0,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Man, Hibernating Animals, and Poikilothermic Fish: The Present and Future of BCI Technology. 人类，冬眠动物和变温动物：鱼类BCI技术的现在和未来。

Journal of special operations medicine : a peer reviewed journal for SOF medical professionals Pub Date : 2025-04-04 DOI: 10.55460/FA29-NVKE

Anna M Gielas

引用次数: 0

Profiling "Noncombat" Musculoskeletal Injuries in Special Operations Forces: A Systematic Review. 分析“非战斗”肌肉骨骼损伤在特种作战部队：系统回顾。

Journal of special operations medicine : a peer reviewed journal for SOF medical professionals Pub Date : 2025-04-04 DOI: 10.55460/HHNQ-WVWO

Stefano Dresti, Efisio Mellino, Mario Palazzo, Mattia Solidoro, Robin Orr

{"title":"Profiling \"Noncombat\" Musculoskeletal Injuries in Special Operations Forces: A Systematic Review.","authors":"Stefano Dresti, Efisio Mellino, Mario Palazzo, Mattia Solidoro, Robin Orr","doi":"10.55460/HHNQ-WVWO","DOIUrl":"10.55460/HHNQ-WVWO","url":null,"abstract":"Background: Special Operations Forces (SOF) personnel are at a high risk of musculoskeletal (MSK) injury. The aims of this systematic review were to a) profile MSK injuries sustained by SOF personnel and b) identify evidence-based injury prevention strategies.Methods: Registered with the Open Science Framework, the protocol followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Of the 3,773 studies identified, 14 met the eligibility criteria, with 6 additional studies identified following screening of the reference lists of the included studies. Extracted data were summated in five naturally occurring MSK injury themes: 1) incidence in SOF populations; 2) anatomical location; 3) nature; 4) mechanism; and 5) risk factors.Results: Injury incidence ranged from 8 to 846 injuries per 1,000 personnel per year with the lower extremities as the most reported site of injury. The leading nature of MSK injuries were strains and sprains, while the most common mechanism of injury was physical training. Smoking, physical performance, movement limitations, muscular asymmetries, and imbalances were reported as factors that can increase MSK injury risk.Conclusion: This review informs injury prevention strategies within SOF populations, notably, reducing run mileage and alternating running with weight load walking, educating Operators on proper lifting technique, and analyzing force plate testing data to guide program design and implementation.","PeriodicalId":53630,"journal":{"name":"Journal of special operations medicine : a peer reviewed journal for SOF medical professionals","volume":" ","pages":"96-111"},"PeriodicalIF":0.0,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Enhancing Tactical Paramedicine Response Efficiency and Effectiveness: Lessons from the Bataclan Concert Hall Incident. 提高战术医疗救护反应效率和效果：巴塔克兰音乐厅事件的教训。

Journal of special operations medicine : a peer reviewed journal for SOF medical professionals Pub Date : 2025-04-04 DOI: 10.55460/JZ84-1NYJ

Steven Robertson

{"title":"Enhancing Tactical Paramedicine Response Efficiency and Effectiveness: Lessons from the Bataclan Concert Hall Incident.","authors":"Steven Robertson","doi":"10.55460/JZ84-1NYJ","DOIUrl":"10.55460/JZ84-1NYJ","url":null,"abstract":"The 2015 Bataclan Concert Hall attack in Paris highlights the role of the tactical emergency medical physicians embedded within France's Research, Assistance, Intervention, Deterrence (RAID) Police Tactical Group (PTG). France's use of high-level physicians in hot zones contrasts with Australia's reliance on paramedics. This study evaluates the skillsets, effectiveness, and efficiency of Australia's paramedic response to intentional mass violence incidents (IMVI) compared to France's Service d'aide médicale urgente (SAMU), which deploys physicians and integrates seamlessly with hospital care. Findings reveal that trained Australian paramedics can deliver the minimal lifesaving interventions (LSIs) required at the point of injury; meanwhile, physicians can manage complicated cases in cold zones. Deploying highly trained clinicians into threat areas, as with the Queensland Ambulance Services (QAS) High Acuity Response Unit (HARU), may waste resources better allo- cated to the cold zone. Embedding clinicians within tactical groups may enhance survival rates, operational success, and cost-effectiveness.","PeriodicalId":53630,"journal":{"name":"Journal of special operations medicine : a peer reviewed journal for SOF medical professionals","volume":" ","pages":"55-59"},"PeriodicalIF":0.0,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Special Operations Forces Lessons Learned: Beirut Blast. 特种作战部队的经验教训：贝鲁特爆炸。

Journal of special operations medicine : a peer reviewed journal for SOF medical professionals Pub Date : 2025-04-04 DOI: 10.55460/1I1Z-Z7TQ

Zachary J Leblanc, Matthew A Bergens, Isabella R McKinney, Brian L Edlow, Mark Shapiro, Francisca Aguilar, Rachel E Bridwell, Ricky M Ditzel

引用次数: 0

Tactical Combat Casualty Care & En Route Combat Casualty Care: Selected Abstracts from 2024. 战术战斗伤亡护理和途中战斗伤亡护理：2024年精选摘要。

Journal of special operations medicine : a peer reviewed journal for SOF medical professionals Pub Date : 2025-04-04 DOI: 10.55460/6208-YG5D

Harold R Montgomery

引用次数: 0

Successful Management of Battlefield Traumatic Cardiac Arrest Using the Abdominal Aortic and Junctional Tourniquet (AAJT): A Case Series. 使用腹主动脉与交界处止血带 (AAJT) 成功处理战场创伤性心脏骤停：病例系列。

Journal of special operations medicine : a peer reviewed journal for SOF medical professionals Pub Date : 2025-04-04 DOI: 10.55460/7FEV-3ZRK

Dmytro Androshchuk, Andriy Verba

{"title":"Successful Management of Battlefield Traumatic Cardiac Arrest Using the Abdominal Aortic and Junctional Tourniquet (AAJT): A Case Series.","authors":"Dmytro Androshchuk, Andriy Verba","doi":"10.55460/7FEV-3ZRK","DOIUrl":"10.55460/7FEV-3ZRK","url":null,"abstract":"The Russo-Ukrainian war's prolonged warfare, resource constraints, and extended evacuation times have forced significant adaptations in Ukraine's medical system - including technological advancements and strategic resource placement. This study examined if the Abdominal Aortic and Junctional Tourniquet - Stabilized (AAJT-S) could manage traumatic cardiac arrest (TCA) at forward surgical stabilization sites (FSSS) as an adjunct to damage control surgery. Six patients in severe hypovolemic shock presented at an FSSS during fighting in Bakhmut (July 2022) and Slovyansk (May 2023). Following TCA due to exsanguination, the AAJT-S was applied 2cm below the umbilicus. Cardiopulmonary resuscitation (CPR) and transfusion (blood and/or plasma) were initiated. All six patients were resuscitated. None required vasopressor support post-resuscitation. Five survived to the next level of care. One died awaiting evacuation, and another of wounds after 10 days. Four survived to discharge. Three were followed and neurologically intact, and no death records matched the fourth's name and date of birth at 18 months. Follow-up was limited, but one patient was neurologically intact at one year. The AAJT-S effectively resuscitated TCA patients. It increased mean arterial pressure, focused resuscitative efforts on the upper torso, simplified care, and preserved crucial field resources. An alternative to traditional emergency thoracotomy, AAJT-S could replace or complement resuscitative endovascular balloon occlusion of the aorta in pre-hospital settings, given its ease of application by combat medics. AAJT-S, alongside blood transfusion and CPR, achieved 100% success in return of spontaneous circulation and effectively managed TCA in a wartime FSSS.","PeriodicalId":53630,"journal":{"name":"Journal of special operations medicine : a peer reviewed journal for SOF medical professionals","volume":" ","pages":"65-69"},"PeriodicalIF":0.0,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0